1a. Which of the four shapes do you like 1st, 2nd, 3rd, and then 4th. Choose the shape you like most as #1, then second as #2, third as #3, and 4th as last. 1 2 3 4 Cube Pyramid Wavy Line Ball Please enter one response per row 1b. Which of the following four things would cause you the most frustration 1st (most), 2nd, 3rd, and then 4th (least) Choose most frustrating as #1, then second as #2, third as #3, and 4th as last. 1 2 3 4 Not being done properly and in order Out of control Boring or Not fun Conflict with others Please enter one response per row 2. What is the biggest challenge, you face, in any area of your business, career, or life? 3. If anyone could help you in any area of your career, business, and/or life what would you love help on? 4. If you could change one thing about yourself, what would you like to change? 5. If what you believe is not true, would you want to know it? Yes for sure Yes, I think so Maybe - depends I don't think so No, I would not want to know 6a. From a 1 to 10, 10 being the best, how coachable do you believe you are? 1 2 3 4 5 6 7 8 9 10 Least Most 6b. How would you respond if someone said they thought you were coachable at a 2.5? 6b. My WOW / really exciting income goal is . . . This is the really exciting, wow income, something that would just totally excite me over the next 12 months. 6c. My minimum income goal is . . . This is the minimum income goal that I would expect to earn over the next 12 months. 7. If you were being coached one on one, what would be three things you would want to accomplish over the next 90 days? Name Email you would like us to send results to A certified personality, business/life consultant will review over your information and provide feedback, suggestions, and tips based on your personality to assist you with your biggest challenges and/or what you would love help on. Your phone number To best assist you, there may be additional questions/information which would provide you the best feedback. Please share best number to call you if additional information is needed. Name of individual who passed these questions along to you. What industry are you in and what is your position within your company? Would you like a complimentary 30 minute personality interview/strategy session? Based on your responses to the three questions, a certified personal/professional consultant will give you some suggestions, tips, ideas, and action items to assist you based on your personality, biggest challenges, and what you would love help on. Yes No Thank You
